This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
This is an example form generated from the questionnaire. See also the XML or JSON format.
This is an example form generated from the questionnaire. See also the XML or JSON format
Referenced by an Order Request (workflow).
| Logical id of this artefact |
Metadata about the resource
| A set of rules under which this content was created |
| language |
Text summary of the resource, for human interpretation
Contained, inline Resources
| The person who requires the diet, formula or nutritional supplement |
|
| Who ordered the diet, formula or nutritional supplement |
|
Identifiers assigned to this order
| label: | |
| system: | |
| value: |
| The encounter associated with that this nutrition order |
|
| Date and time the nutrition order was requested |
| status |
| List of the patient's food and nutrition-related allergies and intolerances |
|
Order-specific modifier about the type of food that should be given
| code: | |
| text: |
Order-specific modifier about the type of food that should not be given
| code: | |
| text: |
| xml:id (or equivalent in JSON) |
Type of oral diet or diet restrictions that describe what can be consumed orally
| code: | |
| text: |
Scheduled frequency of diet
| xml:id (or equivalent in JSON) |
Type of nutrient that is being modified
| code: | |
| text: |
Quantity of the specified nutrient
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |
| xml:id (or equivalent in JSON) |
Code to indicate how to alter the texture of the foods, e.g., pureed
| code: | |
| text: |
Concepts that are used to identify an entity that is ingested for nutritional purposes
| code: | |
| text: |
The required consistency of fluids and liquids provided to the patient
| code: | |
| text: |
| Instructions or additional information about the oral diet |
| xml:id (or equivalent in JSON) |
Type of supplement product requested
| code: | |
| text: |
| Product or brand name of the nutritional supplement |
Scheduled frequency of supplement
Amount of the nutritional supplement
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |
| Instructions or additional information about the oral supplement |
| xml:id (or equivalent in JSON) |
| Formula feeding instructions expressed as text |
Type of enteral or infant formula
| code: | |
| text: |
| Product or brand name of the enteral or infant formula |
Scheduled frequency of enteral feeding
Type of modular component to add to the feeding
| code: | |
| text: |
| Product or brand name of the modular additive |
Amount of energy per specified volume that is required
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |
How the formula should enter the patient's gastrointestinal tract
| code: | |
| text: |
The volume of formula to provide
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |
Speed with which the formula is provided per period of time
| numerator: | |
| denominator: | |
| units: |
Change in the rate of administration over a given time
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |
Upper limit on formula volume per unit of time
| comp: | |
| value: | |
| units: | |
| coded units: | |
| units system: |